Organization
ANN E KINNEALEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN ELIZABETH KINNEALEY MD (ONCOLOGIST)
(847) 869-2076
Entity
Organization
Contact information
Practice address
800 AUSTIN ST, STE 557, EVANSTON, IL 60202-3439
(847) 869-2076
(847) 475-3414
Mailing address
9266 PAYSPHERE CIRCLE, CHICAGO, IL 60674-0052
(847) 869-2076
(847) 475-3414
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036050081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050081
—
IL
Enumeration date
09/20/2005
Last updated
11/06/2008
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